UMN SCHOOL OF PUBLIC HEALTH - 2021 Briefing Book

Page created by Sherry Armstrong
 
CONTINUE READING
UMN SCHOOL OF PUBLIC HEALTH - 2021 Briefing Book
UMN SCHOOL OF
PUBLIC HEALTH
2021 Briefing Book
The School of Public Health — the only top 10 school of
public health between Chicago and Seattle — advances
excellence in research, education, and outreach for the
protection, restoration, and promotion of health, equity,
wellbeing, security, and safety.

As one of the premier schools of public health in the
world, we prepare some of the most influential
leaders in the field, and provide the knowledge
health departments, communities, and
policymakers need to make the best
decisions about population
health.
UMN SCHOOL OF PUBLIC HEALTH - 2021 Briefing Book
EXECUTIVE SUMMARY
     In 1944, the School of Public Health (SPH) was founded as the seventh
     school of public health in the U.S. and is currently ranked in the top 10
     among 67 fully accredited schools and more than 135 accredited programs.

     ACADEMIC DIVISIONS
     Our academic divisions offer a wide range of master’s                                       FAST FACTS
     and doctoral degree programs, and house national                                            Established: 1944
     and internationally recognized centers that provide
                                                                                                 Dean: John R. Finnegan Jr. (2005- )
     high-caliber research, outreach, and training.
                                                                                                 Students: 1,327
             •    Biostatistics (Joe Koopmeiners, Head)                                          Alumni: 11,800+
             •    Environmental Health Sciences (Craig                                           Faculty: 118
                  Hedberg, Interim Head)                                                         Staff: 437
             •    Epidemiology & Community Health (Dianne                                        Degree Programs: 19 (15 master’s,
                  Neumark-Sztainer, Head)                                                        4 doctoral)
             •    Health Policy & Management (Timothy                                            Research Centers: 22
                  Beebe, Head)                                                                   Rankings (U.S. News & World Report):
                                                                                                 #10 school of public health
                                                                                                 #2 Master of Healthcare Administration
                                                                                                 #7 biostatistics program

     FY2020 REVENUE
                                                                                  Other Income (7%)

                                                                                          State, UMN Allocation (7%)
                                                                      $7.8M
                                                                              $7.6M

                                                                                                    Tuition & Fees (22%)

                                                             $105M
                                                                                 $22.6M

                   Grants & Contracts (64%)        $67.0M

    On the Front Cover: Working with Community Partners for Change
    Members of Street Voices of Change and Upstream Health Innovations, along with SPH students, gather outside of Envision
    Community’s tiny home prototype in 2019. The students used the MHA problem-solving method to help the organization fine tune
    decision making around its bold initiative ­— to create an intentional community of “tiny homes” to provide stability and better health
    for people who do not have a place to live.

2    Briefing Book | sph.umn.edu
UMN SCHOOL OF PUBLIC HEALTH - 2021 Briefing Book
BY THE NUMBERS
ENROLLMENT: FALL 2020
                                                                                    Countries     % Students
    Total           MHA          MPH          MS          PhD    Certificate                                   % Female
                                                                                   Represented     of Color

    1,327               123      794          129         210        71                45           27%         70%

INCOMING STUDENTS: FALL 2020
                                                                                    Countries     % Students
    Total           MHA          MPH          MS          PhD    Certificate                                   % Female
                                                                                   Represented     of Color

    466                 55       321          35            33       22                22           31%         74%

DEGREES GRANTED: 2019-20 Academic Year
         Master’s             Doctoral

           385                    23

ADDITIONAL ACADEMIC OFFERINGS
Public health certificate students: 71
Undergraduate public health minors: 492 (spring 2021 enrollment)
Rothenberger Institute: undergraduate wellness courses (more than 50,000 students since 2002)

ALUMNI
          Employment                   Graduates Staying in      Total Living Alumni
 (within 12 mos of graduation)             Minnesota

                  94%                         71%                         11,816

FACULTY & STAFF HEADCOUNT: FALL 2020 (faculty); FALL 2019 (staff)
                                                                                   % American Indians and
 Role                                               Total
                                                                                   People of Color
 Faculty                                            118                            21%
 Staff                                              437                            16%
 Affiliate and Adjunct Faculty                      214
 Graduate Assistants                                196
 TOTAL                                              869

TENURED/TENURE-TRACK FACULTY BY RANK
           Full               Associate              Assistant

            43                    39                      22

                                                                                                 Executive Summary | 3
UMN SCHOOL OF PUBLIC HEALTH - 2021 Briefing Book
SPH KEY INTIATIVES IN 2021
    The School of Public Health improves the health and wellbeing of
    populations around the world through excellence in research and
    education, and by advancing policies and practices that sustain health
    equity for all. This mission is enhanced by strategic initiatives that provide
    support and infrastructure necessary for the school’s future.

                             COVID-19 IMPACT AND POST-PANDEMIC PLANS
      COVID-19               (page 5)

        DIVERSITY            STRATEGIC PLAN FOR DIVERSITY, EQUITY, AND INCLUSION
         EQUITY              (page 6)
       INCLUSION

                             DRIVEN: SHAPING A FUTURE OF HEALTH CAMPAIGN
        GIVING               (page 7)

                             LEADERSHIP + STRATEGY SETTING
       LEADERSHIP            Two important searches are underway for transformative leadership positions at SPH:
            +                Dean, SPH, and Head, SPH Division of Environmental Health Sciences.
        STRATEGY
                             The events of the past year have made it clear that academic public health must think
                             far into the future to advance health and wellbeing and to meet the needs of a changing
                             world. SPH is a school where questioning, rethinking, and redesigning is welcome and
                             expected, and strategic planning, continuous quality improvement, and innovation must
                             be embedded into our education, research, and engagement in an ongoing and real way.

4   Briefing Book | sph.umn.edu
UMN SCHOOL OF PUBLIC HEALTH - 2021 Briefing Book
RESPONDING TO COVID-19
In 2020, our students, faculty, and staff came together in a year that
was marked with tragedy, imperatives, and hope. The pandemic
changed the way we conduct our learning, operations, research,
education, outreach, and communications.

                                                             COVID-19 SCIENCE & RESEARCH
                                                             During this pandemic, SPH works side-by-side with the
                                                             Minnesota Department of Health, health systems, tribal
                                                             nations, policymakers, and other University of Minnesota
                                                             colleagues. We have confronted the pandemic from many
                                                             angles by bringing hard facts, rapid innovation, and
                                                             insights about this novel disease and its impacts. Read more
                     Novel Coronavirus SARS-CoV-2 by NIAID   about our COVID-19 Science & Research.

                                                             E-LEARNING TAKES CENTER STAGE
                                                             In spring 2020, the school built on its solid online learning
                                                             infrastructure to transfer more than 90 courses from the
                                                             in-person to the virtual classroom in less than two weeks.
                                                             Fall 2020 and spring 2021 saw a continuation of this virtual
                                                             classroom model.

                                                             WORKING REMOTELY
                                                             In March 2020, SPH moved to a remote work environment,
                                                             pausing projects that could not be performed remotely. We
                                                             used technology and our guiding principles of creativity,
                                                             flexibility, and resilience to retain/build relationships with
                                                             co-workers, advance innovation, drive projects forward, and
                                                             connect via more than 400 school events.

           Michael Osterholm                                                                 Media Mentions in 2020
           Regents Professor, Director of CIDRAP
           Osterholm has been internationally sought
                                                                      35,500                 SPH experts have been critical to the
                                                                                             public’s understanding of COVID, covering
                                                                      (represents a 570%
           out for his infectious disease experience,                 increase from 2019!)   topics such as aerosol science, clinical
           expertise, and guidance during the                                                trials, environment, food, rural health,
           pandemic, and was selected to President                                           health equity, mental health, transmission,
           Biden’s Transition COVID-19 Advisory                                              misinformation, vaccines, and aging.
           Board.

                                                                                                          Key 2021 Initiatives | 5
UMN SCHOOL OF PUBLIC HEALTH - 2021 Briefing Book
DIVERSITY, EQUITY, AND INCLUSION
    STRATEGIC PLAN
    Through the SPH strategic plan for diversity, equity, and inclusion (DEI), we
    build on our core values to drive transformational culture change and make DEI
    central to our operations and mission with a clearly defined set of goals, actions,
    and tactics that will guide our efforts over the next five years (2021-2026).

    STRATEGIC PLAN FRAMEWORK

                                     GOAL AREA 1:                                                                         GOAL AREA 5:
                                      LEADERSHIP                                                                          ALUMNI

                                                                                      DIVERSITY
                                                                                        EQUITY
                                                                                      INCLUSION
                                                                                        JUSTICE

                                                                                                                                 GOAL AREA 4:
                             GOAL AREA 2:
                                                                                                                                 STAFF
                               STUDENTS

                                                                                    GOAL AREA 3:
                                                                                      FACULTY

                               OFFICE OF DIVERSITY, EQUITY & INCLUSION                                     DEI ACTION ALIGNMENT TEAM

                             DIVISIONS                    GROUPS                                       SCHOOL WIDE UNITS                 GOVERNANCE

                         • Biostatistics          • Health Equity Work Group                       •   Faculty Affairs              • Educational Policy
                         • Environmental Health   • Equity, Diversity & Inclusion                  •   Research                       Commi‡ee
                           Sciences                 Team (EDIT)                                    •   Student Services Center      • Faculty Consultative
                         • Epidemiology &         • Diversity Network                                                                 Commi‡e
                                                                                                   •   Communications
                           Community Health                                                                                         • Staff Association
                                                                                                   •   Advancement
                         • Health Policy &                                                                                          • P&A Senate
                           Management                                                              •   E-Learning Services
                                                                                                                                    • Student Senate
                                                                                                   •   Human Resources
                                                                                                   •   Finance

    KEY MILESTONES
         •   Spring 2020: Begin planning
         •   Fall 2020: Conduct climate assessment
         •   Spring 2021: Draft plan review
         •   Summer 2021: Launch
         •   2021-2026: Implement plan with accountability checks (View strategic plan website.)

    STRATEGIC PLANNING COMMITTEE
                   The SPH Strategic Planning Committee for DEI is charged with developing a robust and imaginative
                   strategic plan focused on re-imagining how the school can establish itself as a leader and powerful
                   advocate for equity and racial justice on our campus, in higher education, and in our communities
                   across the country. The committee is led by Lauren Eldridge, SPH director of DEI (pictured at left),
                   with an outside consultant and a 16-member planning committee of SPH faculty, staff, students, and
                   alumni.

6   Briefing Book | sph.umn.edu
UMN SCHOOL OF PUBLIC HEALTH - 2021 Briefing Book
PHILANTHROPY
Philanthropic support at SPH — Minnesota’s only school of public
health — provides student scholarships, fuels innovative research,
and advances our efforts to work relentlessly for every Minnesotan
and the billions of people all over the world in need of better health
and wellbeing.

The following figures summarize philanthropic investment in SPH during the Driven:
Shaping a Future of Health campaign (July 2011 through June 2021). The school
announced its public campaign phase in April 2018, and is expected to conclude by
June 2021.

CAMPAIGN GOALS

                                                                                    $10 MILLION
                                                                           INVESTMENT IN STUDENT SUCCESS

                                                     $40
                                                     OVERALL GOAL
           $20 MILLION
           INVESTMENT IN PIONEERING RESEARCH

                                                     MILLION                                 $10 MILLION
                                                                               INVESTMENT IN WORLD-CLASS FACULTY

CAMPAIGN PROGRESS
(as of March 22, 2021)

     •   Overall: $39.2M (98%)
     •   Investment in Student Success: $9.7M
     •   Investment in World-Class Faculty: $4.9M
     •   Investment in Pioneering Research: $24.6M

2021 CAMPAIGN HIGHLIGHT
               SPH Center for Antiracism Research for Health Equity
               In 2021, Blue Cross and Blue Shield of Minnesota made a $5 million philanthropic gift to SPH
               to establish the Center for Antiracism Research for Health Equity. Rachel Hardeman, associate
               professor and Blue Cross Endowed Professor of Health and Racial Equity, created the vision for the
               center and will serve as its founding director. This is the largest gift to the school’s Driven: Shaping
               a Future of Health campaign. Funding for diversity, equity, and inclusion initiatives is a key SPH
               philanthropic priority and increases our opportunities and ability to combat racism’s threat to health
               and enact lasting change.

                                                                                                    Key 2021 Initiatives | 7
UMN SCHOOL OF PUBLIC HEALTH - 2021 Briefing Book
RESEARCH
    Public health is a field at the nexus of the
    health sciences and is collaborative by nature.                            A RESEARCH
    Our researchers work across disciplines to                                 POWERHOUSE
    bring innovative thinking and concrete action                              SPH research is far-reaching and
                                                                               impactful and is vital to the University
    to emerging and persistent challenges.                                     of Minnesota’s current and future
                                                                               institutional excellence.

    DRIVING UMN EXCELLENCE
    SPH faculty members advance opportunities for health
    and wellbeing as they raise the University’s profile as a                  22
    first-class research institution.                                          Research Centers

    Recent Examples (below are two examples of SPH faculty
    who significantly contribute to the University’s prominence
    through high-profile awards and prominent University
                                                                               $67M
    positions):                                                                Grants and Contracts in FY2020

                     Jim Neaton
                     Professor, Director of the Coordinating Centers for
                     Biometric Research
                                                                               #4
                     Received funding from the National Institutes of Health   Largest research portfolio
                     for COVID-19 clinical trials, representing one of the     among schools and colleges at
                     largest awards in UMN history.
                                                                               the University
                     Michael Oakes

                                                                               33%
                     Professor, UMN Associate Vice President for Research
                     Will assume the role of interim UMN Vice President for
                     Research in June 2021.
                                                                               Of SPH faculty are members of
                                                                               the Masonic Cancer Center

    KEY RESEARCH FUNDERS
     •
     •
         Robert Wood Johnson Foundation
         Walton Family Foundation
                                                                               29%
                                                                               Of SPH faculty are members of
     •   Bentson Foundation                                                    the Minnesota Population Center
     •   Centers for Medicare & Medicaid Services
     •   National Institutes of Health (NIH)
     •
     •
         CDC National Institute for Occupational Safety & Health
         Blue Cross and Blue Shield of Minnesota Foundation
                                                                               $568,000
                                                                               Average grant funding per
     •   Agency for Healthcare Research and Quality                            faculty member
     •   Patient-Centered Outcomes Research Institute
     •   Leidos Biomedical Research, Inc.

8   Briefing Book | sph.umn.edu
UMN SCHOOL OF PUBLIC HEALTH - 2021 Briefing Book
ADVANCING PUBLIC HEALTH
SPH experts shape the way public health is practiced around the globe.
We understand that addressing health at the population level cannot be
done in a vacuum. Conducting our research with community partners
and faculty across the University and the world gives our work depth
and relevance. Partnerships at the state, national, and global levels
amplify our work and place the school at the center of big challenges
and big questions.

       UMN
      IMPACT                                  MINNESOTA
                                                IMPACT
   PARTNERING ACROSS
    THE UNIVERSITY OF                          A RESOURCE FOR
       MINNESOTA                                  MINNESOTA

         (page 10)                                 (page 13)

         U.S.                                    GLOBAL
       IMPACT
                                                 IMPACT
     OUR PLACE IN THE
         NATION                                  GLOBAL REACH
                                                    (page 19)
         (page 16)

                                                     Advancing Public Health | 9
UMN SCHOOL OF PUBLIC HEALTH - 2021 Briefing Book
UNIVERSITY COLLABORATIONS 2020-21
   SPH experts are primed for research that crosses
   disciplines. The University of Minnesota is one of only
   a handful of universities in the country with schools of
   engineering, medicine and veterinary medicine, law, and
   agriculture on a single campus. Our faculty members
   are driven to innovate and generate deep impact to
   population health with their University colleagues.

   UMN COLLABORATIONS, 2020-2021
   Recent SPH collaborations with UMN partners. Source: experts.umn.edu. Data pulled March 15,
   2021.

10 Briefing Book | sph.umn.edu
UMN PARTNERSHIPS ADVANCE HEALTH

                                                        DRIVEN TO DISCOVER RESEARCH
                                                        FACILITY
                                                        School of Public Health Professor Ellen Demerath joined
                                                        with Medical School Professor Logan Spector, director
                                                        of the Epidemiology and Clinical Research Division, to
                                                        create the Driven to Discover (D2D) Research Facility at
                                                        the Minnesota State Fair. More than two million people
                                                        visit the fair each year from across the state making it
                                                        a great place to connect with people and engage them
                                                        in exciting, innovative projects from a wide variety of
                                                        disciplines.

                                                        At the building, researchers across the U can reach a
                                                        more diverse group of potential participants, meeting a
                                                        study’s recruitment goals in a matter of hours or days.

      Demerath’s work focuses on the role genes play in the developmental origins of chronic disease.
      Specifically, she researches obesity, body composition, genetic epidemiology, and cardiovascular
      disease risk factors in infancy and childhood with the goal to help prevent chronic disease.

                                                        REDUCING SUICIDE RISK
                                                        Suicide is the second leading cause of death among
                                                        U.S. adolescents and is often preceded by bouts of
                                                        depression. To understand this connection, School of
                                                        Public Health Assistant Professor Mark Fiecas teamed up
                                                        with the Medical School’s Associate Professor Kathryn
                                                        Cullen in a major study of the adolescent brain.

                                                        By mapping data from functional magnetic resonance
                                                        imaging (fMRI) with health data of the participants, they
                                                        hope to better understand the development of depression
                                                        and suicide risk.

      A biostatistician, Fiecas specializes in collecting high-dimensional time-series data (a very large
      collection of variables that are observed over time) to understand the relationship between brain
      function and clinical manifestations of disease, with a special focus on improving outcomes for
      adolescents grappling with mental illness.

                                                                                Advancing Public Health | 11
DETECTING AIRBORNE VIRUSES — A
                                                                   CRITICAL NEED
                                                                   Detecting viruses, such as SARS-CoV-2, in the air can
                                                                   show how far they travel, how deeply they penetrate the
                                                                   respiratory tract, and how to limit exposures to them.
                                                                   SPH Professor Pete Raynor and College of Veterinary
                                                                   Medicine colleagues found a two-system approach works
                                                                   best: one that finds the virus and another that measures
                                                                   concentration, a combination vital for use in animal
                                                                   agriculture settings, human healthcare facilities, and
                                                                   mass transit, as well as for future disease outbreaks and
                                                                   pandemics.

                    Raynor devotes his work to making sure people and animals have clean air to breathe. He serves on
                    the work group for Clean Air Minnesota, directs the SPH industrial hygiene program, and leads the
                    Midwest Consortium for Hazardous Waste Worker Training and the Midwest Emerging Technologies
                    Public Health and Safety Training program.

                                                                    TAKING CARE OF THE HEALTHCARE
                                                                    WORKFORCE
                                                                    Associate Professor Ryan Demmer usually investigates
                                                                    the human microbiome, but when the pandemic hit, he
                                                                    and School of Nursing Professor Jayne Fulkerson began
                                                                    studying a topic that needed urgent attention: COVID-19
                                                                    infections among healthcare workers and the stress they
                                                                    are suffering due to the pandemic.

                                                                    Their findings will have national implications for
                                                                    maintaining a resilient healthcare workforce and they
                                                                    are also providing tailored data to the M Health Fairview
                                                                    system to benefit its staff.

                                                                    (Demmer also collaborates with colleagues at Columbia
                                                                    University on a large national study of over 50,000 U.S. adults
                                                                    to identify causes and consequences of “long-COVID.”)

                    Demmer is an epidemiologist who investigates what leads to cardiometabolic diseases — including
                    diabetes, atherosclerotic vascular disease, and congestive heart failure — and how to reduce risk.

12   Briefing Book | sph.umn.edu
MINNESOTA’S PUBLIC HEALTH RESOURCE
As a top 10 U.S. school, the School of
Public Health is a trusted source of
health research and education, making                           BUILDING
us an invaluable resource to Minnesota                          MINNESOTA’S
communities, leaders, and policymakers.                         PUBLIC HEALTH
                                                                WORKFORCE
TACKLING MINNESOTA’S COMPLEX
                                                                SPH trains the next generation of
HEALTH ISSUES                                                   public health professionals who
•   Healthcare availability and access                          will advance our understanding of
•   Resilience in aging populations                            how to live a healthier life.
•    Stronger family systems
•    Affordable, safe food                                     The majority of our graduates
•     Rural and immigrant health                                stay in Minnesota and become:
•     Obesity prevention                                        • hospital administrators
•     Disease and injury prevention
                                                                • community health workers
•     Healthier environments
                                                                • health policy experts
                                                                • research scientists
PARTNERSHIPS AMPLIFY OUR IMPACT                                 • health data scientists
Minnesota is currently 7th in U.S. state health rankings,       • water safety specialists
and SPH is a significant part of what puts Minnesota            • epidemiologists
in that top tier. Through strategic investments; extensive      • health industry consultants
partnerships with Mayo Clinic, Minnesota hospitals,             • clinicians trained in population
communities, organizations, and Fortune 500 companies;            health
and a long and close relationship with the state health         • legislative staffers
department, SPH makes Minnesota’s public health system
one of the best in the nation.

While Minnesota ranks high in state health rankings, it
                                                                11,800+
simultaneously ranks among the worst places to live for
                                                                Graduates (living today)
Black Americans. In 2021, SPH launched the Center for
Antiracism Research for Health Equity — led by Associ-
ate Professor Rachel Hardeman — that will help our state        71%
close the quality of life gap and ensure that all people have   Graduates Staying in
the support and resources needed to reach their full health     Minnesota (2017-20 avg.)
potential. As a distinguishing factor, the center will foster
authentic community engagement by convening research-
ers, practitioners, and community members to address the
root causes of racial health inequities and drive real action
for change.

                                                                       Advancing Public Health | 13
MINNESOTA IMPACT EXAMPLES

                                                                      CHAMPION FOR OLDER ADULTS
                                                                      Until recently, Minnesota was the only state in the
                                                                      country that didn’t require licensing for assisted living
                                                                      communities. That finally changed in part because of the
                                                                      work of Associate Professor Tetyana Shippee. Shippee
                                                                      focuses on improving quality of life (QOL) and addressing
                                                                      racial equity for people using long-term care. Working
                                                                      with the Minnesota Department of Human Services,
                                                                      she is helping develop the state’s first report card on
                                                                      assisted living quality that includes QOL so that older
                                                                      adults and families can make wise decisions.

                  Shippee, a champion for older, institutionalized adults, found that quality of life is just as important to
                  them as their medical care. She is also breaking new ground in exploring the role of race and culture
                  in QOL measures. Shippee is associate director of research at the SPH Center for Healthy Aging and
                  Innovation.

                                                                       USING RAPID INNOVATION TO MODERNIZE
                                                                       PATIENT CARE
                                                                       Medical knowledge doubles about every 73 days and
                                                                       the traditional research process is not flexible enough to
                                                                       meet this changing landscape. CEOs, administrators, and
                                                                       clinicians need answers to their most pressing questions
                                                                       now in order to stay in step with the needs of their
                                                                       patients and communities and a rapidly changing world.

                                                                       Historically in the U.S., researchers study healthcare
                                                                       delivery and, when the study is published, it often takes
                                                                       years before the findings are translated into practice to
                                                                       benefit individuals, communities, and populations.

                                                                       Minnesota Learning Health Systems flips that model by
                                                                       having researchers study in healthcare delivery settings. This
                                                                       level of proximity brings scientific evidence into practice
                                                                       much quicker, creating better outcomes for everyone.

                    Professor Tim Beebe developed Minnesota Learning Health Systems, a partnership that brings
                    together three of Minnesota’s most important health research, education, and care delivery
                    organizations ­(UMN School of Public Health, Mayo Clinic, and Hennepin Healthcare) to train experts
                    in a game-changing approach to healthcare.

14 Briefing Book | sph.umn.edu
MAKING COVID-19 TESTING SITES MORE
                                                 ACCESSIBLE
                                                 Testing is a critical component of a public health response
                                                 to an infectious disease outbreak, such as the COVID-19
                                                 pandemic. It leads to faster treatment and better informed
                                                 personal decisions, and helps contain spread. The
                                                 problem is testing isn’t always accessible to everyone,
                                                 including those who are already disproportionately
                                                 affected by health inequity.

                                                 Using firsthand experience, Hadija Steen Mills, SPH
                                                 master of public health student, created a low barrier,
                                                 community-informed testing site in Minneapolis that
                                                 could better serve under-resourced communities by
                                                 being conscious of the traumas people have suffered and
                                                 centering the communities often pushed to the margins.

Hadija Steen Mills is a Maternal and Child Health MPH student at SPH. Mills’ work centers around
creating more equitable futures where community care elicits health.

                                                 STAYING RESILIENT IN FARM COUNTRY
                                                 Farming is among Minnesota’s important industries,
                                                 ranking 5th in income across the U.S. Yet, as an
                                                 occupation, farming is one of the most dangerous and
                                                 difficult jobs in the nation. Fluctuating commodity prices,
                                                 production costs, and the uncertainties created by
                                                 extreme weather events and climate change take their toll
                                                 on physical and mental health in farm country year over
                                                 year. More than ever, Greater Minnesota needs support
                                                 and resiliency.

                                                 It’s estimated that farmers and farm workers take their
                                                 own lives at a rate that is three-to-five times higher than
                                                 any other workers in the country. And, according to a
                                                 study in the American Journal of Preventive Medicine,
                                                 65% of rural counties don’t have a psychiatrist, 47%
                                                 lack a psychologist, and 81% have no psychiatric nurse
                                                 practitioners.

Professor Jeff Bender guides the Upper Midwest Agricultural Safety and Health Center and forges
relationships among rural organizations and the communities they serve to increase health and
well-being for farmers, farm families, and farm workers, including the large population of immigrant
workers.

                                                                        Advancing Public Health | 15
OUR PLACE IN THE NATION
   SPH is one of 67 accredited schools of public health in
   the nation (in addition to the more than 135 programs
   housed in other health sciences schools).

   TOP RANKED IN THE U.S.
     • #10 school of public health in the nation, U.S. News & World Report
     • #2 Master of Healthcare Administration program, U.S. News & World Report
     • #7 biostatistics program, U.S. News & World Report
     • Top 20 most highly NIH-funded researchers in the nation at a school of public
       health, Professor Jim Neaton, Biostatistics
     • Longest running mentor program, connecting public health students to SPH
       alumni and other public health professionals

   The University of Minnesota is one of the most esteemed public research
   universities in the nation. The Twin Cities campus ­— the home of SPH — is one
   of only five university campuses in the U.S. with an engineering school, medical
   school, law school, veterinary medicine school, and agricultural school all on one
   campus.

   NATIONAL COLLABORATIONS
   Although we compete with our peer schools for top talent, we work in partnership
   with them to shape a future of health for all.

16 Briefing Book | sph.umn.edu
EXAMPLES OF NATIONAL IMPACT

                                                      THE PUZZLE AND DAMAGE OF COLORISM
                                                      The discriminating practice of colorism traditionally
                                                      assigns privilege to lighter skin tones and disadvantages
                                                      to darker skin tones. But in a recent study of preterm
                                                      births among Black mothers, Assistant Professor Jaime
                                                      Slaughter-Acey discovered that for women in Generation
                                                      X, lighter skin tone was associated with lower preterm
                                                      birth rates, but for Millennial Black women, darker skin
                                                      tone was associated with lower rates. More answers are
                                                      needed in this new field of research that has nationwide
                                                      implications for maternal and child health.

      Black mothers and babies die at disproportionate rates and it is urgent to find out why. Slaughter-
      Acey explores the interlocking systems of racism and colorism to help policymakers and practitioners
      increase the quality and effectiveness of maternal and child care for women of color.

                                                      ADVOCATING FOR RURAL RESIDENTS
                                                      AND THEIR BABIES
                                                      Access to obstetric care in rural communities is critical
                                                      to ensuring good maternal and child health outcomes.
                                                      Eighteen million reproductive-age women live in
                                                      America’s rural counties, but more than half of these
                                                      counties have no hospital where pregnant patients can
                                                      give birth. The past decade has been marked by a decline
                                                      in maternity care access as hospitals and obstetric units
                                                      across rural America shutter their doors.

       Professor Katy Backes Kozhimannil directs the SPH Rural Health Research Center and has helped
       lead the national conversation around rural health equity, rural maternity care, and obstetric unit
       closures. Kozhimannil also studied the consequences of these closures and how they put rural
       residents and their babies at increased risk of preterm delivery and emergency room births.

                                                                             Advancing Public Health | 17
EXPOSING HIDDEN HUNGER
                                                                  Before Professor Melissa Laska’s pioneering research,
                                                                  no one thought much about food insecurity among
                                                                  college students. When Laska conducted the first
                                                                  longitudinal study on the subject, she found that an
                                                                  estimated 1 in 3 college students fear they will run out
                                                                  of food, findings that helped establish food pantries on
                                                                  college campuses. In research published this year, she
                                                                  found nearly 1 in 4 college students are food insecure,
                                                                  with Black, transgender, and first-generation students
                                                                  reporting high rates of insecurity.

                  Laska has devoted her career to helping create policies and programs that foster healthy food
                  environments and food access for all people.

                                                               INFORMING STATE AND NATIONAL HEALTH
                                                               POLICY
                                                               National and state-level measures related to health and
                                                               healthcare are housed at SPH in the Robert Wood Johnson
                                                               Foundation-funded State Health Access Data Assistance
                                                               Center (SHADAC). SHADAC helps states understand factors
                                                               associated with health and healthcare and bridge the gap
                                                               between data and the policy-making process.

                  SHADAC, under the leadership of Professor Lynn Blewett, produces health policy research with a
                  focus on deriving lessons from state variations in policy and outcomes in the national context.

18 Briefing Book | sph.umn.edu
GLOBAL REACH
Whether it’s collaborating with the Somali community
in Minneapolis or working with people across the globe,
our school’s unique relationship with local immigrant
populations, as well as schools and organizations around
the world, provides important opportunities for SPH to
learn from and partner with the global community.

GLOBAL COLLABORATIONS
SPH faculty collaborations on the country level from July 1, 2018-June 30, 2020.

                                                                                   Advancing Public Health | 19
GLOBAL IMPACT EXAMPLES

                                                                  JOINING THE GLOBAL FIGHT AGAINST
                                                                  CANCER
                                                                  It’s extraordinarily difficult to transfer cancer research
                                                                  findings from one country to another, but doing so
                                                                  could save millions of lives. To that end, Professor Irina
                                                                  Stepanov founded the Institute for Global Cancer
                                                                  Prevention Research that has initial funding from SPH,
                                                                  the Medical School, and the Masonic Cancer Center.
                                                                  By growing partnerships and research capacity, and
                                                                  translating findings into prevention practices and policies,
                                                                  the institute aims to stop cancer before it starts.

                  Stepanov’s lab focuses on the link between tobacco products and cancer by tracing harmful
                  chemicals in tobacco products to their transformations in the human body. Her discovery that a
                  chemical that can cause cancer is able to form in an e-cigarette user’s body changed attitudes toward
                  what some believed to be a harmless product.

                                                                  A CLINICAL TRIAL POWERHOUSE
                                                                  Global clinical trials take immense amounts of
                                                                  detailed planning and no place is better at their
                                                                  design and management than SPH’s Coordinating
                                                                  Centers for Biometric Research (CCBR). The group
                                                                  has tackled the most stubborn health challenges,
                                                                  including cardiovascular disease, influenza, Ebola,
                                                                  and HIV/AIDS, for which it changed treatment
                                                                  protocols and saved millions of lives. In 2020, CCBR
                                                                  collaborated on the development of a master protocol
                                                                  with multiple clinical trial networks to evaluate the
                                                                  safety and efficacy of investigational agents for the
                                                                  treatment of COVID-19.

                                   CCBR director and Professor Jim Neaton (left) is considered one of the world’s
                                   experts on clinical trials. Neaton, along with associate director and Professor Cavan
                                   Reilly (right) and their dedicated team, keeps drug and treatment trials focused on
                                   discerning the best public health impact.

20 Briefing Book | sph.umn.edu
ADVOCATING FOR HER PEOPLE
                                                Minnesota is home to the nation’s largest Somali
                                                community. Many Somalis choose Minnesota because
                                                of its numerous refugee resettlement and social support
                                                organizations or to be reunited with family members who
                                                settled here before them.

                                                While in school, Amira Adawe, MPH ’15, identified and
                                                addressed a number of issues threatening the health of
                                                Somalis, including the use of dangerous skin-lightening
                                                creams by many Somali and African women.

Adawe’s work on skin-lightening practices and chemical exposure in the immigrant and refugee
communities has since attracted national attention. She continues to raise awareness of the dangers
of skin-lightening creams, from harmful ingredients, such as mercury, to their negative impact
on women’s self-esteem. Amira hosts a weekly radio show in Somali that reaches 80,000 people
worldwide, and her personal outreach and connections have made her a valuable consultant for cities
across the U.S.

                                                PREVENTING CHILD SEXUAL ABUSE
                                                Many Latin American cultures encourage children to
                                                obey and respect their elders, but that may set them up
                                                for sexual abuse. PhD student Gabriela Bustamante
                                                studied a school-based program for 7-12 year-olds in
                                                Ecuador that teaches children about personal boundaries,
                                                anatomy, appropriate touching/behavior, and more. A
                                                key element of the course is how to say “no” to an adult.
                                                Bustamante found that the program is educating and
                                                empowering children to stand up for themselves.

Bustamante, an Ecuadorian native, believes the program’s approach to concepts of obedience and
the rights of the child could also benefit children in other South and Latin American countries and
hispanic groups in the U.S.

                                                                       Advancing Public Health | 21
You can also read